Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which phrase in a question usually signals a priority question?

1. A“Which statement describes this drug’s class?”
2. B“Which term means inflammation of the liver?”
3. C“Which bone is found in the forearm?”
4. D“Which action should the nurse take first?”

Which patient usually fits ESI level 5?

1. AA stable adult who needs blood tests and an X-ray of the chest
2. BAn adult in cardiac arrest
3. CAn adult with chest pain suggesting a heart attack
4. DA stable adult who only needs a repeat prescription

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. AWanting family members to visit
2. BNeeding the call light within reach
3. CNeeding pain relief after surgery
4. DWanting praise for progress in rehabilitation

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“Only she should press the button when she needs pain relief.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AIncrease the feed rate so the stomach empties sooner
2. BKeep the head of the bed raised to at least 30 degrees
3. CLay the patient flat for an hour after each bag is hung
4. DTurn the feed off only while the patient is asleep at night

Which patient on an addiction unit should the nurse see first?

1. ALast drink one week ago; asking about support groups
2. BLast drink this morning; asking when lunch will arrive
3. CLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
4. DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription

After handover on a medical unit, which patient should the nurse see first?

1. APneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
2. BDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
3. CDeep vein thrombosis on a heparin infusion, aPTT in the target range
4. DNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. ADroplet precautions
2. BStandard precautions only
3. CContact precautions only
4. DAirborne precautions